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09-03-2024 | Metabolic Disease in Childhood | Pediatric Hypertension (C Hanevold, Section Editor)

Screening and Management of Pediatric High Blood Pressure—Challenges to Implementing the Clinical Practice Guideline

Authors: Coral D. Hanevold, Tammy M. Brady

Published in: Current Hypertension Reports

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Abstract

Purpose of Review

Elevated blood pressure (BP) and hypertension in childhood convey risk for hypertension and cardiovascular events in adulthood. Early recognition of abnormal BPs is key to preventing or lessening this risk. However, the process for making the diagnosis of hypertension is complex, and overall adherence to the 2017 American Academy of Pediatrics Clinical Practice Guidelines (CPG) is poor. We will review obstacles to adherence to the CPG and approaches designed to improve the diagnosis and management of hypertension in children.

Recent Findings

Baseline data from the multi-center quality improvement intervention, “Boosting Primary Care Awareness and Treatment of Hypertension” (BP-CATCH), demonstrate that childhood hypertension remains underdiagnosed. Other studies confirm a lack of compliance with the process outlined in the CPG. The provision of electronic prompts, coaching, and education results in modest improvements.

Summary

The combination of embedded medical record tools and education seems to offer the most hope for improvement.
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Metadata
Title
Screening and Management of Pediatric High Blood Pressure—Challenges to Implementing the Clinical Practice Guideline
Authors
Coral D. Hanevold
Tammy M. Brady
Publication date
09-03-2024
Publisher
Springer US
Published in
Current Hypertension Reports
Print ISSN: 1522-6417
Electronic ISSN: 1534-3111
DOI
https://doi.org/10.1007/s11906-024-01298-0